| Doctor Name: | MICHAEL ANDREW MAHLON |
| NPI Number: | 1104809672 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 1056 |
| Business Practice Address: | 9040 Reid St # A Joint Base Lewis Mcchord, WA - 984311100 |
| Business Phone Number: | 2539682252 |
| Business Fax Number: | |
| Mailing Address: | 9040 Reid St # A, JOINT BASE LEWIS MCCHORD |
| State: | WA |
| Postal Code: | 984311100 |
| Phone Number: | 2539682252 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2005 |
| NPI Last Update Date: | 02/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 1056 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |